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Evrysdi

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Lispran tablets are primarily used to treat spinal muscular atrophy (SMN), a rare genetic neuromuscular disease that primarily affects infants and children but may also occur in adults.

1. Drug name and main ingredients

1. Common name : Risdiplam (Risdiplam)

2. Trade name u200 c:EVRYSDI™

3. Dosage form :Oral solution (powder needs to be prepared)

4. Main ingredient :Each bottle contains liximalan 60m g, the concentration after preparation is 0.75mg/mL

5. Excipients : Ascorbic acid, disodium edetate, isomalt, mannitol, polyethylene glycol 6000, sodium benzoate, strawberry flavor, trichloride Sucrose, tartaric acid

2. Indications

Spinal Muscular Atrophy (SMA) : Used to treat SMA (including infantile type and late-onset type) in patients 2 months old and above.

3. Specifications and properties

1. Specifications : 60mg/bottle (80mL after preparation, concentration 0.75mg/mL)

2. Properties : The powder is light yellow to light green, and after preparation it is a yellow-green to yellow clear liquid.

IV. Usage and Dosage

1. Preparation of : Prepare by a pharmacist with 79mL purified water, shake well and let it sit for 10 minutes.

2. Dose :

2 months to <2 years old: 0.2mg/kg/day

≥2 years old and weight <20kg: 0.25mg/kg/day

≥2 years old and weighing ≥20kg: 5mg/day

3. Administration method : Once a day, take orally or through a feeding tube after a meal, drink water after administration to ensure complete swallowing.

4. Treatment of missed doses of : You can take it within 6 hours, skip it if it exceeds 6 hours; there is no need to take it after vomiting.

5. Dose adjustment

1. Hepatic insufficiency : Disabled in moderate to severe (Child-PughB/C).

2. Renal insufficiency : No adjustment required.

VI. Medication precautions

1. Monitoring requirements : Regularly check liver function, blood routine and growth and development indicators.

2. Special reminder :

After preparation, the solution needs to be refrigerated in the dark (2-8°C) and discarded after 64 days.

Avoid contact with skin or mucous membranes. If contact occurs, rinse immediately.

Do not mix with formula or milk.

7. Medication for special groups

1. Pregnant women :Based on animal data, it may cause harm to the fetus, so the pros and cons need to be weighed.

2. Lactation : Suspend breastfeeding (the drug may be secreted into breast milk).

3. Children : The safety of children under 2 months of age has not been established.

4. Elderly : No dosage adjustment is required.

8. Adverse reactions

1. Common (≥10%) :

Infant type: fever, upper respiratory tract infection, pneumonia, constipation, vomiting, diarrhea, rash.

Late onset: fever, diarrhea, rash, oral ulcers.

2. Serious but rare : Retinal toxicity (animal data), QT interval prolongation.

9. Contraindications

1. Those who are allergic to rispalan or excipients.

2. Moderate to severe liver insufficiency (Child-PughB/C).

10. Drug interactions

1. MATE transporter substrate (such as metformin) : Avoid combined use (may increase toxicity).

2. CYP3A inhibitor/inducer : No significant effect.

11. Storage method

1. Unprepared powder : Store at room temperature (15-30°C) in the original packaging and away from light.

2. Prepared solution : Refrigerate (2-8°C) and discard after 64 days.

12. Manufacturer

Manufacturer :Genentech, Inc. (USA, member of Roche Group).

Note : If you have persistent fever, vision changes or severe diarrhea during medication, you need to seek medical treatment in time. Specific medication needs to be prescribed by your doctor.